[Note: This questionnaire is implemented in a series of computer programs written in QuickBASIC. The interviewer administers the interview by microcomputer. Some interview procedures are not fully captured by the following text. For more information, contact Devon D. Brewer, Interdisciplinary Scientific Research, www.interscientific.net.]

Some of the questions I am going to ask you may be the same as questions you were asked in other studies or by other agencies. However, we are a separate study and we are from a different agency, so I need to ask you a few basic questions again as well as some new and different questions. If at any point during the interview a question is not clear to you, stop and ask me to clarify the question.

We are interested in learning as much as we can from what you tell us today. Remember, all information you give is anonymous--we have no way of identifying you. If there are questions you don’t want to answer, let me know and I’ll skip to the next question. There are no right or wrong answers to any of these questions--we are just trying to learn about you have experienced. Please try your very best to give the most accurate and complete answers to my questions today.

A. Demographic and background information

The first five questions relate to information about you that we needin order to make an anonymous code to identify your interview responses.

16. In the last 6 months (since ____), how often have you injected or shot drugs? (free response, then categorize) none = 0 less than once a week = 1 one or a few times weekly = 2 daily = 3 ref = 8 dk = 9 __ (RDRUGFRQ)

The next several questions are about sex. By “sex” I mean any kind of sexual activity between two or more people that involves the penis, vagina, or anus (or “butt”). This includes contact between penis and vagina, between penis and mouth, between penis and anus, between mouth and vagina, between mouth and anus, between hand and vagina, between hand and anus, and between hand and penis. For this interview, “sex” does not include mouth-to-mouth kissing, hand touching of breasts, or rubbing sexual parts of the body that are covered by clothes. Is it clear to you what I mean when I say “sex”?

17. Have you had sex in the last 2 years (year) (since [month], 19__)? no = 1 yes = 2 ref = 8 dk = 9 (if no, then skip to question 21; if no for both questions 14 and 17, then close interview) __ (RSEX)

18. In the last 2 years (year) (since [month], 19__) did you have sex with...only men (= 1)only women (= 2)both, but mostly men (= 3)both, but mostly women (= 4)both, about equally (= 5) __ (RTYPESEX)

20. In the last 6 months (since ____), how often have you had sex? (free response, then categorize) none = 0 less than once a week = 1 once or a few times a week = 2 daily = 3 ref =8 dk = 9 __ (SEXFREQ)

The next part of the interview is about the people you have had sex with and people you have injected drugs with. I am going to tape record this part of the interview, but your responses will still be anonymous and confidential.

[Interviewer: turn on tape recorder]

(The order of question sets 24-29 and 30-35 will be balanced across subjects within each recall condition. Questions 24/25 and 30/31 will only be asked in recall conditions A and B.)

24. Altogether, how many people did you inject drugs with in the last 2 years (year) (since [month], 19__)? Include all the people you injected drugs with, regardless of whether you shared needles with them or not. __ __ __ __ (ENUMIPAR)

25. How did you come up with an answer to this question? What thinking processes did you use to up with an answer? (free response)

25. Think of the people you have injected drugs with in the last 2 years (year) (since [month], 19__), including those people you did and did not share needles with. When I ask you to, tell me the names of all the people you have injected drugs with in the last 2 years (year). You can use their first names, nicknames, initials, made-up names, or anything that you will be sure to remember them by, but don’t give me their full names. This way I won’t ever be able to identify these people or know who they are. I am going to write down the names as you go along. If you don’t know the name of somebody you have injected drugs with, give some word or brief description to refer to this person. Take as much time as you need and don’t worry if names don’t come right away--just keep working at it if you think you might be able to remember them.

Who are all the people you have injected drugs with in the last 2 years (year)?

(Think-aloud recall instructions for recall conditions A and C):

Think of the people you have injected drugs with in the last 2 years (year) (since [month], 19__), including those people you did and did not share needles with. When I ask you to, tell me the names of all the people you have injected drugs with in the last 2 years (year). You can use their first names, nicknames, initials, made-up names, or anything that you will be sure to remember them by, but don’t give me their full names. This way I won’t ever be able to identify these people or know who they are. I am going to write down the names as you go along. If you don’t know the name of somebody you have injected drugs with, give some word or brief description to refer to this person. As you are remembering, please think aloud and say all the thoughts that go through your mind, even if these thoughts are not names. Take as much time as you need and don’t worry if names don’t come right away--just keep working at it if you think you might be able to remember them.

Who are all the people you have injected drugs with in the last 2 years (year)?

(Probes for think aloud recall conditions A and C after prolonged silences):

What are you thinking now? What is going through your mind?

(Probe subject if subject says s/he is done):

Who else have you injected drugs with in the last 2 years (year)?

[Interviewer: Write names down. Check list of names for completeness.Replay tape if necessary. Check list for repetitions. Ask subject if repetitions refer same person. If not, ask subject to give a label that differentiates them (e.g., based on their physical characteristics, location, occupation, etc. Read back the list of partners to the subject to make sure that each partner is in fact a different person. In reading back the list of injection partners, ask the subject if all of them also shot drugs about the same time the subject did.]

27. Are there other people you have injected drugs with in the last 2 years (year) but just can’t remember right now? That is, do you have the feeling that you have injected drugs with other people that you haven’t mentioned already, but you just can’t remember any of them in particular? no = 1 yes = 2 maybe = 3 ref = 8 dk = 9 __(IPARMORE)

29. (If yes to 27 or 28 then ask):How many other persons have you injected with that you don’t want to talk about or just can’t remember now? ref = -8 dk = -9 __ (IPARNMOR)

30. Altogether, how many people did you have sex with in the last 2 years (year) (since [month], 199_)? Remember that by “sex” I mean any sexual activity that involves your and/or the other person’s penis, vagina, or anus, regardless of the situation the sexual contact occurs in or the type of relationship you have with the other person. __ __ __ __ (ENUMSPAR)

31. How did you come up with an answer to this question? What thinking processes did you use to up with an answer? (free response)

32. Think of the people you have had sex with in the last 2 years (year) (since [month], 19__). Remember that by “sex” I mean any sexual activity that involves your and/or the other person’s penis, vagina, or anus, regardless of the situation the sexual contact occurs in or the type of relationship you have with the other person. When I ask you to, tell me the names of all the people you have had sex with in the last 2 years (year). Just like you did a minute ago, you can use their first names, nicknames, initials, made-up names, or anything that you will be sure to remember them by, but don’t give me their full names. This way I won’t ever be able to identify these people or know who they are. I am going to write down the names as you go along. If you don’t know the name of somebody you have had sex with, give some word or brief description to refer to this person. Take as much time as you need and don’t worry if names don’t come right away--just keep working at it if you think you might be able to remember them.

Who are all the people you have had sex with in the last 2 years (year)?

(Think-aloud recall instructions for recall conditions A and C): Think of the people you have had sex with in the last 2 years (year) (since [month], 19__). Remember that by “sex” I mean any sexual activity that involves your and/or the other person’s penis, vagina, or anus, regardless of the situation the sexual contact occurs in or the type of relationship you have with the other person. When I ask you to, tell me the names of all the people you have had sex with in the last 2 years (year). You can use their first names, nicknames, initials, made-up names, or anything that you will remember them by, but don’t give me their full names. This way I won’t ever be able to identify these people or know who they are. I am going to write down the names as you go along. If you don’t know the name of somebody you have had sex with, give some word or brief description to refer to this person. As you are remembering, please think aloud and say all the thoughts that go through your mind, even if these thoughts are not names. Take as much time as you need and don’t worry if names don’t come right away--just keep working at it if you think you might be able to remember them.

Who are all the people you have had sex with in the last 2 years (year)?

(Probes for think aloud recall conditions A and C after prolonged silences):

What are you thinking now? What is going through your mind?

(Probe subject if subject says s/he is done):

Who else have you had sex with in the last 2 years?

[Interviewer: Write names down. Check list of names for completeness. Replay tape if necessary. Check list for repetitions. Ask subject if repetitions refer to same person. If not, ask subject to give a label that differentiates them (e.g., based on their physical characteristics, location, occupation, etc. Read back the list of partners to the subject to make sure that each partner is in fact a different person.]

33. Are there other people you have had sex with in the last 2 years (year) butjust can’t remember right now? That is, do you have the feeling that you havehad sex with other people that you haven’t mentioned already, but you just can’t remember any of them in particular? no = 1 yes = 2 maybe = 3 ref = 8 dk = 9 __ (SPARMORE)

35. (If yes to 33 or 34)How many other persons have you had sex with that you don’t want to talk about or just can’t remember now? ref = -8 dk = -9 __ (SPARNMOR)

(Question 36 will only be asked for either sexual partners or drug injection partners, whichever type of partner was recalled last.)

36. Tell me how you just now went about remembering the people you have (had sex/ injected drugs) with. Did you recall them in any particular order? [Wait for response]. What strategies or tricks did you use to try to remember all of the people you could? [Wait for response]. How did you remember these people? [Waitfor response].

[Interviewer: turn off tape recorder]

[Interviewer compares partners mentioned as injection partners and sex partners to identify unique persons and compares partners mentioned in first and second interviews (if a second interview).]

(The following questions will be asked about each of the first 12 persons mentioned in questions 26 and 31. If a person is mentioned as a sexual partner and as a drug injection partner, individual questions will only be asked once.)

37. [Subjects are asked one of four subsets of these questions. Introductory statements vary for each subset.]

m) how close is your relationship now with [partner’s name]? Please rate how close your relationship is on a scale from 1 to 9, with 1 meaning “not close at all” and 9 meaning “extremely close.”

n) when you think about [partner’s name], do you get mostly good or positive feelings (= 3), mostly bad or negative feelings (= 1), or neither good nor bad feelings (= 2)?

(The following questions are only asked about sex partners.)o) when was the first time you had sex with [partner’s name]? (year andmonth if possible; free response)

p) when was the last time you had sex with him/her? (year and month if possible; free response)

q) did [partner’s name] give you money or drugs in exchange for having sex with him/her in the last 2 years (year)? (no = 1, yes/sometimes = 2, ref = 8, dk = 9)

r) did you give [partner’s name] money or drugs in exchange to have sex with him/her in the last 2 years (year)? (no = 1, yes/sometimes = 2, ref = 8, dk = 9)

s) how many times did you have sex with [partner’s name] in the last 2 years (year)? (once = 1, less than 5 times = 2, 5 to 20 times = 3, more than 20 times = 4, ref = 8, dk = 9)

t) how often did you use condoms, dental dams, or latex gloves during sex with this partner in the last 2 years (year)? (never = 1, sometimes = 2, always = 3, ref = 8, dk = 9)

(The following questions are only asked about drug injectionpartners.)

u) when was the first time you injected drugs with [partner’s name] (year and month if possible; free response)

v) when was the last time you injected drugs with [partner’s name] (year and month if possible; free response)

x) how many times did you inject drugs with [partner’s name] in the last 2 years (year)? (free response, then categorize) (once = 1, less than 5 times = 2, 5 to 20 times = 3, more than 20 times, ref = 8, dk = 9)

y) have you ever shared a needle/syringe, cooker, cotton, rinse water, or drugs from each other’s syringe with [partner’s name] (frontloading or backloading) in the last 2 years (year)? By sharing a needle, cooker, cotton, or rinse water, I mean that you used it before OR after he/she did. (no = 1, yes = 2, ref = 8, dk = 9)

38. Network questions (only half of the subjects are asked these questions)

(The next questions are asked after the questions in 37 have been askedabout all of the named partners.)

(For each unordered pair of partners [of the first 12 mentioned] (proceeding column-wise from left to right), the following questions will be asked for sex partners and injection partners separately):

39. As you probably know, HIV can be passed from one person to another through sexual contact and sharing drug injection equipment (or rig or works). If somebody tests positive for HIV, a health care worker (like a doctor, nurse, counselor, or public health worker) might ask them to tell all the people they have had sex with or injected drugs with that they may have been exposed to HIV and should be tested. Sometimes a person who tests positive for HIV doesn’t want to tell these people about being exposed to HIV. If this person can give information about or the names of these people to a health care worker, then the worker can find these people and encourage them to get tested. All along the health care worker never tells these people the name of the person who tested positive for HIV. So everything is confidential when this happens, and no information is given to the police or other government agencies. This whole process is designed to help prevent the spread of HIV.

Keeping this in mind, I want you to pretend that you have tested positive for HIV. Imagine that you have tested positive for HIV and a health care worker says that you should tell all the people you have had sex with or injected drugs with that they may have been exposed to HIV and should get tested for HIV. I am going to go through the list of people you mentioned earlier and I want to ask a few last questions about them. These questions have nothing to do with any blood test you have taken--I just want you to pretend that you are in this situation. We are not going to contact anyone--these questions are only for the research study here today.

(for each of the first 12 sex partners and injection partners recalled):

a) Would you tell [partner’s name] yourself that she/he may have been exposed to HIV and should get tested? no = 1 maybe = 2 yes = 3 ref = 8 dk = 9

b) (if “no”, “maybe”, or “dk”) Why not? (free response)

c) Would you give [partner’s name]’s name or information about him/her to a health care worker and let the worker tell [partner’s name] that he/she should get tested for HIV, even though the health care worker would never mention your name? no = 1 maybe = 2 yes = 3 ref = 8 dk = 9

d) (if “no”, “maybe”, or “dk”) Why not? (free response)

I’d like to finish up by asking a few more questions and getting your reactions to the interview questions.

40. In the past year, have you been asked to list the people you have had sex with or injected drugs with like you did today as part of a study or with a health care worker? no = 1 yes = 2 ref = 8 dk = 9 __ (PREVRECL)

41. How embarrassed were you by the questions today? not at all = 1 a little = 2 somewhat = 3 a lot = 4 ref = 8 dk = 9 __ (EMBARRAS)

42. How uncomfortable were you by the questions today? not at all = 1 a little = 2 somewhat = 3 a lot = 4 ref = 8 dk = 9 __ (UNCOMFOR)

43. Were there any questions that offended you? If so, how? (free response/explanation)

44. Were there any questions that could have been asked in a better way or a clearer way? If so, how? (free response)

45. Do you have any suggestions to make the interview better? (free response)

That’s the end of the interview. Thank you very much for your cooperation.

(The following questions are for the interviewer after the subject has left.)

46. Did the subject appear to be intoxicated or under the influence of alcohol or drugs during the interview? no = 0 yes = 1 not sure = 3 __ (SINTOX)

47. Did the subject appear to be experiencing withdrawal symptoms during the interview? no = 0 yes = 1 not sure = 3 __ (SWITHDR)

48. How motivated was the subject in answering the questions? not at all = 1 somewhat = 2 very = 3 __ (SMOTIV)

49. How open was the subject in answering the questions? not at all = 1 somewhat = 2 very = 3 __ (SOPEN)

49. How honest was the subject in answering the questions? not at all = 1 somewhat = 2 very = 3 __ (SHONEST)

49. How resistant was the subject in answering the questions? not at all = 1 somewhat = 2 very = 3 __ (SRESIST)

49. How tense was the subject in answering the questions? not at all = 1 somewhat = 2 very = 3 __ (STENSE)